Simply download the required forms below and FAX them to us at 813-662-2814. IT’S THAT EASY!

Download forms here (PDF)
» Confidential Hormone  » Pharmacy RX Solutions CC Authorization
» Patient Confidentiality Statement » Patient Authorization Agreement

Please feel free to call us if you have any further questions at 1-866-662-0693 or email us at

* Prices are subject to change without notification based on supplier shortages and manufacturer price increases.